Organization
THE MILL CREEK DENTIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM A WALTER DDS (OWNER)
(425) 745-4661
Entity
Organization
Contact information
Practice address
16306 BOTHELL EVERETT HWY, SUITE B, MILL CREEK, WA 98012-1283
(425) 745-4661
(425) 491-7077
Mailing address
16306 BOTHELL EVERETT HWY, SUITE B, MILL CREEK, WA 98012-1283
(425) 745-4661
(425) 491-7077
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00005339
WA
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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